LI DDS DENTAL INC. NPI 1679932032

NPI Information

NPI: 1679932032
Provider Name: LI DDS DENTAL INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3333 S BREA CANYON RD STE 121
DIAMOND BAR, CA
ZIP 91765
Phone: (909) 869-1098
Get Directions

LI DDS DENTAL INC. is a general practice dentist in Diamond Bar, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LI DDS DENTAL INC. NPI is 1679932032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3333 S BREA CANYON RD STE 121
DIAMOND BAR, CA
ZIP 91765-783
Phone: (909) 869-1098
Fax: (909) 869-7202

The provider's authorized official is Jingjing Li .
The authorized official title is Ceo and has the following contact phone number (909) 869-1098.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 8/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	56851	CALIFORNIA	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	46308	CALIFORNIA	No
3	1223G0001X	Dentist	General Practice	56851	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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